NPIMap

Organization Active NPI

Harborside Dental

  • Dental Clinic/Center
  • Gloucester, MA
National Provider Identifier
1295995280
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HARBORSIDE DENTAL
Practice address
127 Eastern Ave
Gloucester, MA 01930-1802
Phone
(978) 546-3821
Fax
(978) 546-3821
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sergey Zemlyansky, D.M.D
Title
Dentist
Phone
(978) 546-3821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

127 Eastern Ave
Gloucester, MA 01930-1802

Mailing address

127 Eastern Ave
Gloucester, MA 01930-1802
Phone (978) 546-3821

Other identifiers 1

IdentifierTypeStateIssuer
V05039OtherMABLUE CROSS AND BLUE SHIELD

Other names 1

  • no Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1295995280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 EASTERN AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301802",
            "telephone_number": "978-546-3821",
            "fax_number": "978-546-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 EASTERN AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301802",
            "telephone_number": "978-546-3821",
            "fax_number": "978-546-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "ZEMLYANSKY",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "978-546-3821",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "V05039",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "no",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gloucester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.